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February 1989

SASMAS Suspension Rhytidectomy: Rationale and Long-term Experience

Author Affiliations

From the Division of Otolaryngology, University of Alabama, Birmingham (Drs McCollough and Langsdon); The McCollough Facial Surgery Clinic, Birmingham, Ala (Dr McCollough); and the Department of Otolaryngology–Head and Neck Surgery, Indiana University School of Medicine, Indianapolis (Dr Perkins). Dr Langsdon is now in private practice in Memphis. Dr Perkins is now in private practice in Indianapolis.

Arch Otolaryngol Head Neck Surg. 1989;115(2):228-234. doi:10.1001/archotol.1989.01860260102023

• Prudent surgeons who perform facelifting operations continue to alter techniques to reduce morbidity and achieve lasting results. The philosophy and technique herein described arose from the premise that suspension of the superficial musculoaponeurotic system (SMAS) suspends the skin-adipose unit (SA). In turn, suspension of the skin-adipose unit (SA) suspends the SMAS. When proper suspension is achieved, both systems function in tandem as a single unit, ie, the SASMAS (skin-adipose superficial musculoaponeurotic system). The SASMAS technique has been performed in approximately 1200 patients with gratifying results and minimal complications.

(Arch Otolaryngol Head Neck Surg 1989;115:228-234)